KSPACE SUMMER SCHOOL 2022 BOOKING FORM

Welcome to Kspace!
Please complete one form per child.
Once received your booking will be reviewed by our Admissions Team and we will contact you. An invoice will be prepared and sent to you separately.

COVID-19: Increased attention to hygiene, health and safety apply during the pandemic. The incoming travel and health stipulations are reflected in our summer school policies. Please review these carefully on the link here.

Kspace International School: enquiries@kspacetokyo.org

General Information

1) Are you an enrolled Kspace member? No   Yes
2) Has your child ever attended a Kspace Spring/Winter/Summer School? No   Yes
a)If 'Yes' to the above, please give details of programme
b)If you answered 'No' to the above, have you ever visited Kspace before? No   Yes

Student's Information

Surname (family name) *
Forename (first name) *
Gender
Date of birth (dd/mm/yyyy) *
Nationality/Nationalities (on passport)
1st Language
Other Languages
English Language Level Complete Beginner   Beginner   Intermediate   Advanced / Fluent  
If your child has studied English before please tell us where/how:

Student's Medical Information

No
Yes (Please provide information)
Does your child have any physical challenges or limitations at all? No Yes
Does your child have any cognitive, behavioural or social challenges or limitations at all? No Yes
Does your child have any allergies at all? No Yes
Has your child received all vaccinations recommended in Japan? No Yes
Does your child have any special diet (please list)? No Yes
Parent/Guardian Contact Information
Address in Japan
Please list the name of the primary English speaker in 'Parent A', if you have an English speaker in your family.
Parent A's Name (first name/family name) *
Relationship to Student
Nationality
Parent B's Name (first name/family name)
Relationship to Student
Nationality
Address
 
Postcode
Phone / landline
Mobile *
Email Address *
Note: Please do not provide mobile phone provider email address

 

How did you hear about us? :


Please add a tick mark ( ✔ ) in the boxes on the dates/courses/times that you would like your child to attend.

To give you an accurate invoice please complete fields for every date that you want to book.

Booking Dates (Summer School - July 18th to August 20th, 2022)

MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
July 18
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
July 19
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Before School Japanese
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
July 20
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
July 21
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Before School Japanese
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
July 22
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
July 23
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
 
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
July 25
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
July 26
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Before School Japanese
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
July 27
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
July 28
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Before School Japanese
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
July 29
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
July 30
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
 
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
August 01
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
August 02
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Before School Japanese
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
August 03
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
August 04
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Before School Japanese
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
August 05
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
August 06
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
 
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
Aug 08
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 09
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Before School Japanese
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 10
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 11
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Before School Japanese
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 12
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 13
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
 
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
Aug 15
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 16
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Before School Japanese
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 17
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 18
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Before School Japanese
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 19
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 20
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm

Booking Dates (SUMMER SCHOOL EXTENSION - August 24th to September 2nd, 2022)

 
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
AUG 22
School Closed
AUG 23
School Closed
Aug 24
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 25
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Before School Japanese
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 26
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 27
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
 
Aug 29
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 30
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Before School Japanese
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 31
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Sep 01
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Before School Japanese
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Sep 02
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
 

 

IMPORTANT NOTES & AUTHORISATIONS

New students may be asked to take a paid trial before summer school.

Parents must please read general school policies in full at this stage of booking. Acceptance of and adherence to policies will be required.

- Download Summer Authorisations and Policies (KSpace Copy)

- Download Summer Authorisations and Policies (Parent Copy)

- Download Summer School COVID-19 Policy

Additional, updated information will be required from parents with completion of our Travel and Health Disclosure prior to actual attendance. This will be sent to you at a later stage. Photocopies of family passports will be taken.

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Parent/Guardian Online Signature

I am the parent/guardian and the information I have provided is correct.

I have read, understood and agree to all policies on the link above.

Type Name in full (first/ middle/family name) : 
Completing this field acts in place of your handwritten signature, in agreement with the authorisations above and for booking application at Kspace International School.

The data that you submit online will be treated and stored with absolute respect and confidentiality.

Date :

Kspace International School, 5-13-39 Shirokanedai,
Minato Ku, Tokyo 108-0071, Japan
kspace@kspacetokyo.org     enquiries@kspacetokyo.org
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